California State Board of Optometry

Licensing details for: 3776

Name: COSTCO WHOLESALE #416

License Type: Registered Dispensing Ophthalmic Business

Primary Status: Cancelled Primary Status Definition

Previous Names: PRICE CLUB-416 ❖ PRICE CLUB OPTICAL

Address of Record

725 CENTER DR
SAN MARCOS CA 92069
SAN DIEGO county
Map

Issuance Date

April 9, 1987

Expiration Date

April 30, 2003

Current Date / Time

November 7, 2025
4:45:11 AM

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MILLIKAN, SHANNON W

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 4506 Primary Status: Cancelled

Address :
1079 ARBOR LANE
SAN MARCOS CA 92069
SAN DIEGO COUNTY

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: ZIMMER, DEBORAH A

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 3604 Primary Status: Cancelled

Address :
2695 SEACREST COURT
VISTA CA 92083
SAN DIEGO COUNTY